Individual
MRS. BETTY KACHNYCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
301 DR CARTER BLVD, BUNNELL, FL 32110-6212
(386) 437-7350
(386) 437-8232
Mailing address
301 DR CARTER BLVD, BUNNELL, FL 32110-6212
(386) 437-7350
(386) 437-8232
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9189390
FL
Other
Enumeration date
09/04/2012
Last updated
10/09/2013
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